Table of contents for Benefits and beyond : a comprehensive and strategic approach to retirement, health care, and more / Thomas E. Murphy.

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Table of Contents
Benefits and Beyond-A Comprehensive and Strategic Approach
 to Retirement, Health Care, and More 
by Thomas E. Murphy
Preface
About the Author
Chapter 1: Introduction to Benefits (pp 1-21)
The Plans Sponsor's Dilemma
Benefits Infrastructure
Employers and the Business Strategy
Learning Objectives
Topics Covered
Conclusion
Business Strategy Illustration
	Benefits Analytical Template
	An Example of the Analytical Template
Chapter Exercises
Chapter 2: Human Resource Economics, Principles, and Actuarial Concepts (pp 22-56)
Total Rewards
Monetary Value of Benefits
The Benefits Model
	Internal Fairness 
	External competitive rewards
	Positively affects employee behaviors
	Cost effective and efficiently administered 
Actuarial Principles
Conclusion
Chapter Exercises
Chapter 3: Lifecycle Events (pp 57- 85)
Benefits respond to lifecycle events
Health
Disability 
Employee Counseling
Child Birth and Adoption
Daycare
Educational Assistance
Caring for Sick Dependents
Retirement
Retiree health care
Marriage 
Separation from Employment
Death of the Employee
Time Off from Work
Cultural and Global Perspective
Conclusion
Chapter Exercises
Chapter 4: Retirement Plans-Evolution and Design (pp 86-134)
Introduction
Factors Affecting Retirement Plan Design
Financing of Retirement Plans
Fund Protection
The Benefits Model
Basic Design Features of a Defined Benefit Plan
Coverage and Eligibility 
Vesting
Benefit Calculation
	Typical Final Average Pay Formula
Funding 
Beneficiaries
Participating Service
Age at retirement
Pension Adjustments and Distributions
Covered compensation
Social Security offsets and adjustments
Level Income Optional benefit
Breaks in service
Disability retirement
Non-portability of DBP benefits
The allocation of risk in DBPs
Defined Contribution Plans
Rationale of a Defined Contribution Plan (DCP)
401(k) Design features - Coverage and Vesting
Employer contributions (matches)
Ownership v. Promise to Pay
Limits on contributions
Investment choices
Loans and withdrawals
Administration
Distribution
Broad Participation and Discrimination Testing
Some Perspective
The Evolution continues
Hybrid Cash Balance Plan Design Features
Profit Sharing Retirement 
Employee Alignment - The Employee Stock Ownership Plan 
Evolution and the Small Employer
Chapter Exercises 
Chapter 5: Pension Plans for Small Employers & Retirement Planning (135-153)
Evolution Reaches the Small Employer and the Self-employed 
Individual Retirement Account (IRA)
The Savings Incentive Match Plan for Employees of Small Employers (The SIMPLE) 
Simplified Employee Pension (SEP)
Money Purchase Plan
The KEOGH
Contemporary Issues in Retirement
Migration from DBPs to DCPs
Special Early Retirement Plans
Persistent low savings rates and higher living costs
Some ideas to simplify employer-sponsored plans
Retirement Planning - Will Your Employee Have Enough to Retire? 
	Principles and strategies for retirement planning
	Annuities
	Retirement and continued utilization of older workers. 
	
Conclusion 
Chapter Exercises
Chapter 6: Health Care (pp 154-181)
Introduction
Parties and Interests Involved in Health Care
Employer-sponsored Plans - Taxes, Financing, and Market Factors
Financing
Market Conditions
Inflation
Evolution of Health Care Plan Designs - Some Principles
The Benefits Model - Health Care
	
Design Features of the Major Medical or Indemnity Plan
	Coverage
	Eligibility
	Which medical procedures are covered and for how much?
	Utilization review
	Employee cost sharing 
	Out-of-pocket maximum
	Lifetime maximum
	
Coordination of Benefits
	
Bundling and Unbundling Plans
	
Summary 
	
Chapter Exercises
Chapter 7: The Evolution of Health Care Plan Designs (pp 182-213)
Introduction 
Preferred Provider Organization (PPO) - Discounts and Volume
Point of Service Plan (POS) - Management of Referrals
Health Maintenance Organization (HMO) - More Managed Utilization and Care
Direct Contracting and Capitation 
Consumer-Driven Health Care
Choices of Plans - What Should the Employer Sponsor Offer?
Employer-sponsored Wellness Programs 
Retiree Health Care 
Factors Affecting the Cost of the Employer-Sponsored Plan
Insured Plans
Third Party Administrator (TPA) Selection
Conclusion
Chapter Exercises 
Chapter 8: Improving Access to Quality Health Care-Do we Need Reform? (pp 214-252)
Underlying Problems of Cost and Affordability - Value and the Lack of Quality
Stating the Underlying Problem - High Costs of Health Care
Health Care Investment and Efficacy
Inappropriate Care and Clinical Quality Measurements
Errors Increase Costs
Our Culture, System, and Prices
Profile of the Uninsured
What Are Some Possible Solutions?
	Improving access to quality care - making health care affordable
	Electronic medical information systems
	Quality based competition among providers
	Reducing administrative expense
	Preventive medicine
	Broadening competition among TPAs.
	Tax changes
	Tort reform
	Encouraging integrated health practices
	Consumer-driven health care 
	Put it all Together 
New Health Care Delivery and Financing Systems - Health Care Reform
	Enlarge coverage of public health care programs
	Universal or single-payer program
	Employer mandates
	Mandating individual coverage
	Market-based reform
	Other approaches
Conclusion
Some Perspective on the Bureaucratic Barriers to Health Care Reform
Chapter Exercises 
Chapter 9: Benefit Legal Compliance-Employee Retirement Security Act (ERISA), the 
Internal Revenue Code (IRC), and the Pension Protection Act of 2006 (PPA) (pp. 253-291)
History 
The Basic Provisions of ERISA
	Coverage
	Reporting and Disclosure
	Fiduciary Responsibility
	Participation and vesting
	Benefit accrual requirements
	Benefits distribution
Spouses 
Lump sums and DBPs
	Minimum funding standards
	Preemption - Pension plans
	Preemption -- Health care
Tax Treatment of Retirement Plans
Non-alienation of Benefits
Freezes and Terminations
Cash Balance Plans - Legal
Phased Retirement 
Bankruptcy 
ERISA and IRC Enforcement
Insuring Benefits When a Plan is Terminated
Conclusion 
Chapter Exercises 
Chapter 10: Employee Benefits and Metrics (pp 292-330)
A New Perspective - Benefits Are Not Just Costs
The Metrics Template for Benefits
The Data and Metrics Tool Box - Surveys and Assessments
Tool Box - Efficiency, Costs, and Productivity
Tool Box - Data Sources for Measurement - Human Resource Management Systems (HRMS)
Sound Measurement - Validity, Reliability, and Practicality
Measuring the Financial Value of Benefit Plans - Using Capital Budgeting Analysis
Return on investment (ROI)
Net Present Value (NPV)
	Internal Rate of Return (IRR)
	Pay Back Period Rule
	
Some Perspective
Design Principles
Data, Metrics, and Retirement Plans - Some Examples
Health Care and Measurement - Plan Design
Evaluating Providers and Their Clinical Outcomes - Sponsors' Efforts 
Conclusion 
Chapter Exercises 
Chapter 11: Equity Benefits (pp 331-353)
Introduction
Retirement Plans and Stock
Stock Purchase Plans
Stock Option Plans
Restricted Stock
Stock Appreciation Rights
Some Issues Pertaining to Equity Awards
Performance-Based Equity Awards
Does Equity Compensation Work?
Chapter Exercises 
Chapter 12: Government-Sponsored and Mandated Benefits (pp 354-407)
Social Security Retirement Benefit (USA)
Some Social Security Economic and Policy Issues
Perspectives on Social Security Reform
Health Care after Retirement - Medicare
Medicare - Some Important Economic and Policy Issues
Medicaid 
Perspectives on Medicaid
Veterans' Health Care 
Mandated Benefits (COBRA, HIPAA, FMLA, USERRA)
Chapter Exercises 
Chapter 13: Global Benefits (pp 408-448)
Introduction
Health Care in Europe
Some General Principles and Features of European Health Systems
Financing of Health Care - European Countries
Current Problems and Issues in European Countries
Some Perspectives on Costs, Long-term Health, and Reform
China's Health Care System
Some Conclusions - the U.S. and Other Countries
Social Security - Providing and Insuring Retirement Income
Some General Retirement Approaches in European and other OECD Countries
China and Social Security Retirement Income 
Chile and the Personal Account
Some Perspectives on Social Security Reform 
Competitive Labor Costs and Benefits
Expatriates and Global Benefits - Taking Your Business Abroad
Conclusion and Perspective - the Global Workplace
Chapter Exercises
Chapter 14: Collective Bargaining and Benefits (pp 449-467)
General Obligation to Provide New Benefits Pursuant to Collective Bargaining
What Will Happen to the Current Plans?
Must the Company Bargain Over an Entry into a Joint Trust?
Joint Trusts - Issues and Challenges
MPPAA - What Happens if the Employer Closes His Operation and Leaves the Joint Trust?
What if the Company and the Union Cannot Agree on Benefits? 
What Happens if the Contract Expires and There is No New Agreement?
What Happens if the Contract Expires and the Employees Go on Strike?
Bargaining and Retiree Health Care
Conclusion and Perspective
Chapter Exercises
Chapter 15: Life & Disability Insurance, Pay for Time Not Worked (pp 468-489)
Life Insurance
Disability Insurance
Pay for Time Not Worked - Sick Days, Vacation, and Holidays
Chapter Exercises 
Chapter 16: Convenience & Accommodation Benefits, Benefits Administration (490- 505)
Convenience and Voluntary Benefits 
Making the Benefits Fit the Workplace
Concierge Benefits
Flexibility 
Employee Assistance Plan (EAP)
Company-sponsored Educational Benefits
Administration of Employer Sponsored Benefits
Outsourcing Administration
Information Systems for Benefits
Plan Optimization and Communication
Chapter Exercises

Library of Congress Subject Headings for this publication:

Employee fringe benefits -- United States.
Postemployment benefits -- United States.
Health planning -- United States.